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Related Experiment Videos

Bowel technique in the O.R. Is it really necessary?

J Porteous, D Gembey, M Dieter

    Canadian Operating Room Nursing Journal
    |March 1, 1996
    PubMed
    Summary

    Surgical instruments used for bowel anastomosis show consistent contamination, especially in large bowel resections. Isolating these instruments can reduce patients' risk of postoperative wound infections.

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    Area of Science:

    • Surgical Sciences
    • Infection Control
    • Microbiology

    Background:

    • Inconsistencies exist in current operating room practices for bowel technique.
    • Limited literature addresses intra-operative bowel handling procedures.
    • Postoperative wound infections remain a significant risk in bowel surgery.

    Purpose of the Study:

    • To validate the current operating room procedures for bowel technique.
    • To assess the microbial contamination of instruments used in bowel anastomosis.

    Main Methods:

    • Cultured needle drivers and tissue forceps used for large bowel anastomosis.
    • Cultured needle drivers and tissue forceps used for small bowel anastomosis (control).
    • Included only elective bowel surgery cases for analysis.

    Main Results:

    • Consistent microbial contamination was observed on instruments used for bowel anastomosis.
    • Significantly greater contamination was found on instruments used for large bowel resections compared to small bowel.
    • Specific instruments showed higher contamination rates, indicating potential sources of infection.

    Conclusions:

    • Instruments in direct contact with the bowel lumen are consistently contaminated.
    • Contamination is more pronounced in large bowel resections.
    • Isolating contaminated instruments and equipment is a crucial perioperative practice to mitigate surgical site infections.

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